Page 35 - APP Collaboration - Assessing the Risk (Part One)

SVMIC Advanced Practice Provider Collaboration: Assessing the Risk

the APP’s activities. Usually this is accomplished by utilizing

protocols, medication formularies, chart reviews, periodic and
defined practice site monitoring, and competency reviews.

Some physicians and APPs inaccurately view their legal

relationship as one in which the APP is required to have a
physician listed on the board application and the physician is

simply a necessary formality. Many physician-APP
arrangements do not define roles and responsibilities or involve

regular communication. This type of semi-formal relationship is
risky to both parties and may eventually lead to conflict. In fact,

the relationship should be one that has well-defined roles and is
mutually supportive, collaborative, and accountable. Physicians

often do not realize the extent of collaboration necessary to
keep liability risk low.

Is The Working Relationship a Good Fit?

To determine if the working relationship will be a

good fit, the physician and APP should begin by
asking the following questions:

3

What must a Is there a limit How closely What control What
physician do on the number must a should be services and

before of APPs that a physician exercised procedures
supervising physician supervise an over may
an advanced can advanced supervisees’ supervisees

practice collaborate practice activity in the perform?
provider? with or provider? treatment of
supervise? patients?

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